The internals of this Gallup poll on health care aren't pretty for Democrats. Now 45 percent of adults believe the health care bill will make the health care system worse, compared to 40 percent who believed so in November.

As a GOP Senate aide notes, less than a quarter of Americans believe key claims about the legislation made by Obama and the congressional Democrats:

Only 21 percent believe costs will go down; 22 percent predict their own health care situation will improve; 23 percent say deficit will improve; 24 percent predict better coverage—pluralities see worsening of all four areas